基线保护性行为策略的使用预测了在年轻人的自然环境中，更温和的透皮酒精浓度动态和更少的饮酒负面后果。

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology of Addictive Behaviors Pub Date : 2024-05-01 Epub Date: 2023-06-29 DOI:10.1037/adb0000941

Michael A Russell, Joshua M Smyth, Rob Turrisi, Gabriel C Rodriguez

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引用次数: 0

摘要

目的：测试频繁保护行为策略（PBS）用户在日常生活中是否报告（a）较少的酒精相关后果和（b）较低风险的酒精中毒动力学（通过透皮酒精浓度[TAC]传感器“特征”测量）。方法：222名经常酗酒的年轻人（Mage=22.3岁）连续6天佩戴TAC传感器。导出每天的TAC特征峰值（最大TAC）、上升率（TAC增加速度）和曲线下面积（AUC）。在每个自我报告饮酒日后的第二天早上测量与酒精相关的负面后果。过去一年PBS的使用是在基线时测量的。结果：报告基线PBS使用频率更高的年轻人显示（a）酒精相关后果更少，（b）平均中毒动力学更低（AUC更低，峰值更低，上升率更低）。限制/停止和饮用PBS的方式显示出与总分相同的发现模式。减少严重伤害PBS预测与酒精相关的负面后果较少，但没有TAC特征。多级路径模型显示，TAC特征的峰值和上升率部分解释了PBS（总量、限制/停止和饮酒方式）与后果之间的关联。PBS分量表的独立贡献较小且不显著，这表明总的PBS使用量比使用的特定类型的PBS更重要地预测风险/保护。结论：使用更多总PBS的年轻人在现实世界的饮酒过程中可能会经历更少的酒精相关后果，部分原因是风险较小的中毒动力学（TAC特征）。未来需要在日常水平上测量PBS的研究，以正式测试TAC特征，作为预防急性酒精相关后果的日常机制。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。

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Baseline protective behavioral strategy use predicts more moderate transdermal alcohol concentration dynamics and fewer negative consequences of drinking in young adults' natural settings.

Objective: Test whether frequent protective behavioral strategies (PBS) users report (a) fewer alcohol-related consequences and (b) less risky alcohol intoxication dynamics (measured via transdermal alcohol concentration [TAC] sensor "features") in daily life.

Method: Two hundred twenty-two frequently heavy-drinking young adults (M_age = 22.3 years) wore TAC sensors for 6 consecutive days. TAC features peak (maximum TAC), rise rate (speed of TAC increase), and area under the curve (AUC) were derived for each day. Negative alcohol-related consequences were measured in the morning after each self-reported drinking day. Past-year PBS use was measured at baseline.

Results: Young adults reporting more frequent baseline PBS use showed (a) fewer alcohol-related consequences and (b) lower intoxication dynamics on average (less AUC, lower peaks, and slower rise rates). Limiting/stopping and manner of drinking PBS showed the same pattern of findings as the total score. Serious harm reduction PBS predicted fewer negative alcohol-related consequences, but not TAC features. Multilevel path models showed that TAC features peak and rise rate partially explained associations between PBS (total, limiting/stopping, and manner of drinking) and consequences. Independent contributions of PBS subscales were small and nonsignificant, suggesting that total PBS use was a more important predictor of risk/protection than the specific types of PBS used.

Conclusions: Young adults using more total PBS may experience fewer alcohol-related consequences during real-world drinking episodes in part through less risky intoxication dynamics (TAC features). Future research measuring PBS at the daily level is needed to formally test TAC features as day-level mechanisms of protection from acute alcohol-related consequences. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊

Psychology of Addictive Behaviors Multiple-

CiteScore

4.90

自引率

11.80%

发文量

165

期刊介绍： Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.